Creative solutions in order to treat sternal wound complications in cardiac surgery

Basit Öğe Kaydı
dc.authorid0000-0001-7478-6235
dc.contributor.authorÖzyüksel, Arda
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:28Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:28Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.descriptionWOS: 000372983300013
dc.descriptionPubMed ID: 26874004
dc.description.abstractI read with great interest the article by Kalab and colleagues about their successful results with regard to the reconstruction of massive sternum defects following cardiac surgery [1]. They used allogenic bone transplantation in order to substitute tissue loss due to mediastinitis. Mechanical instability of the sternum is an untoward complication with significant morbidity in the field of cardiac surgery. The risk factors for sternal nonunion are broadly classified as preoperative, intraoperative, and postoperative [2]. Preoperative factors are related to the pre-existing factors in the patients, such as diabetes mellitus, obesity, chronic obstructive pulmonary disease, osteoporosis, and radiation to the chest. The intraoperative risk factors for sternal nonunion are mainly associated with technical errors, such as paramedian sternotomy, harvest of bilateral internal thoracic arteries for grafting, and mechanical failure. Postoperatively, prolonged mechanical ventilation, impaired cardiac output and infectious aetiologies are the most important risk factors associated with increased sternal complications. Several methods, devices and substitution material have been reported in literature. The biological substitution material as emphasized by Kalab et al. have the major advantage of optimal mechanical properties, biocompatibility, lower risk of infection as compared to synthetic materials and the ability for new tissue formation by osteoprogenitor cells in the allografts.
dc.identifier.citationÖzyüksel, A. (2016). Creative solutions in order to treat sternal wound complications in cardiac surgery. Interactive Cardiovascular and Thoracic Surgery, 22(3), 313-313. https://dx.doi.org/10.1093/icvts/ivv384
dc.identifier.doi10.1093/icvts/ivv384
dc.identifier.endpage313
dc.identifier.issn1569-9293
dc.identifier.issn1569-9285
dc.identifier.issue3
dc.identifier.scopusqualityQ1
dc.identifier.startpage313
dc.identifier.urihttps://dx.doi.org/10.1093/icvts/ivv384
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2715
dc.identifier.volume22
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherOxford University Press
dc.relation.ispartofInteractive Cardiovascular and Thoracic Surgeryen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCardiac Surgery
dc.subjectWound Complications
dc.subjectTreat Sternal
dc.titleCreative solutions in order to treat sternal wound complications in cardiac surgery
dc.title.alternativeeComment. Creative solutions in order to treat sternal wound complications in cardiac surgery
dc.typeLetter

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
Özyüksel, A..pdf
Boyut:
67.21 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Diğer Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu